Volar Scapholunate Interosseous Ligament Reconstruction in Acute Traumatic Wrist: A Review of Volar-Based Repairs/Reconstructions

The volar scapholunate interosseous ligament is an important stabilizer of the wrist. In 2015, van Kampen et al described the technique for reconstruction of an isolated palmar injury using a long radiolunate ligament in the subacute or chronic setting; however, its use has not been described in the acute, traumatic setting. We describe the use of their technique in a 22-year-old man who presented with a traumatic right open transradiocarpal disarticulation with underlying bony, tendinous, ligamentous, and neurovascular injuries secondary to a motor vehicle accident. At 3 months after surgery, the patient had improved range of motion, no pain, normal scapholunate angle at 59.6°, and no scapholunate gap.